Active NPI 1720052988 Individual Practitioner Male Practitioner

Dr. William Wayne Hooper , MD

Internal Medicine - Pulmonary Disease • Encinitas, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. William Hooper, MD is a certified Internal Medicine - Pulmonary Disease practicing in Encinitas, CA. With approximately 51 years of clinical experience since completing medical education in 1975, Dr. Hooper delivers high-quality medical care to the local community at 320 SANTA FE DR.

Dr. Hooper is affiliated with Scott A Eisman Md Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, determination of lung volumes using plethysmography. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

320 Santa Fe Dr
Suite 101

Encinitas, CA 920245138

Telephone 7607533424

Fax 7607533425

Associated Practice Facility / Clinic

🏢 Scott Mercer, Md, Inc Facility NPI 1942201785

Medicare Profile & Education

Medical School

Other

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Pulmonary Disease in Encinitas, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +26.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 29.1 Yrs

Regional Practice Density

13 Specialists

Practicing in Encinitas, CA (1498 Statewide)

Telehealth Adoption Rate

53.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hooper (51 Years) 51 Yrs

Encinitas Specialty Average (25.0 Years) 25.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	189	$417.00	$136.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$539.00	$176.09
94726 Determination of lung volumes using plethysmography	41	40	$188.00	$63.41
94729 Test to examine how well the lungs exchange gases	41	40	$198.00	$64.76
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$295.00	$97.38
94060 Test to measure expiratory airflow and volume changes before and after medication administration	33	32	$133.00	$43.97
94618 Test for exercise-induced lung stress	13	13	$111.00	$36.48
94010 Test to measure expiratory airflow and volume	13	13	$92.00	$30.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	177	$392.22	$135.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$531.09	$177.04
94729 Test to examine how well the lungs exchange gases	42	40	$191.58	$65.00
94726 Determination of lung volumes using plethysmography	42	40	$181.78	$61.72
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$271.94	$96.98
94060 Test to measure expiratory airflow and volume changes before and after medication administration	25	25	$142.37	$43.68
94618 Test for exercise-induced lung stress	25	21	$107.04	$36.38
94010 Test to measure expiratory airflow and volume	22	20	$91.55	$30.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	171	$293.53	$138.27
99213 Established patient office or other outpatient visit, typically 15 minutes	48	38	$202.76	$98.45
94729 Test to examine how well the lungs exchange gases	43	41	$159.48	$66.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$440.18	$179.51
94726 Determination of lung volumes using plethysmography	42	40	$150.70	$62.36
94060 Test to measure expiratory airflow and volume changes before and after medication administration	27	26	$166.45	$42.83
94010 Test to measure expiratory airflow and volume	19	18	$82.00	$30.30
94618 Test for exercise-induced lung stress	16	15	$91.20	$36.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$393.30	$194.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	205	$293.53	$139.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$440.18	$176.53
94729 Test to examine how well the lungs exchange gases	58	58	$159.48	$67.00
94726 Determination of lung volumes using plethysmography	57	57	$150.70	$61.03
99443 Telephone medical discussion with physician, 21-30 minutes	56	47	$293.53	$138.13
94060 Test to measure expiratory airflow and volume changes before and after medication administration	48	48	$166.45	$51.81
99213 Established patient office or other outpatient visit, typically 15 minutes	45	40	$202.76	$97.62
94618 Test for exercise-induced lung stress	12	12	$91.20	$36.36
94010 Test to measure expiratory airflow and volume	12	12	$82.00	$33.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	532	289	$238.01	$115.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$362.61	$175.01
99443 Telephone medical discussion with physician, 21-30 minutes	49	38	$155.95	$117.18
94729 Test to examine how well the lungs exchange gases	47	47	$141.18	$63.36
94726 Determination of lung volumes using plethysmography	46	46	$135.82	$59.88
94060 Test to measure expiratory airflow and volume changes before and after medication administration	35	35	$145.49	$66.05
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$164.03	$79.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$314.92	$154.65
94618 Test for exercise-induced lung stress	14	12	$130.00	$36.13
94010 Test to measure expiratory airflow and volume	12	12	$82.00	$39.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	865	413	$232.48	$114.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	157	157	$353.50	$171.33
94729 Test to examine how well the lungs exchange gases	144	143	$139.00	$60.41
94726 Determination of lung volumes using plethysmography	134	133	$134.00	$58.60
94060 Test to measure expiratory airflow and volume changes before and after medication administration	94	94	$142.00	$64.74
94010 Test to measure expiratory airflow and volume	53	52	$82.00	$38.66
94618 Test for exercise-induced lung stress	37	35	$130.00	$35.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	33	$311.00	$152.49
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$147.56	$78.36
94750 Measurement of lung stretching capacity	11	11	$322.00	$93.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	696	378	$229.72	$107.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$348.99	$163.92
94729 Test to examine how well the lungs exchange gases	95	92	$139.00	$57.34
94726 Determination of lung volumes using plethysmography	92	89	$134.00	$57.53
94060 Test to measure expiratory airflow and volume changes before and after medication administration	84	81	$142.00	$63.51
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$146.64	$72.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	30	$309.22	$145.69
94618 Test for exercise-induced lung stress	25	24	$130.00	$34.58
94010 Test to measure expiratory airflow and volume	19	19	$82.00	$37.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$420.18	$204.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	472	175	$188.84	$104.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$287.00	$158.09
17000 Destruction of skin growth	17	13	$145.00	$48.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$254.00	$133.92
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$125.00	$67.65
11100 Biopsy of single growth of skin and/or tissue	16	13	$191.00	$95.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$362.00	$199.07

Medical Specialties & State Licenses

Internal Medicine - Pulmonary Disease Primary Specialty

NUCC Taxonomy Code: 207RP1001X

State License CA G35446

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

290014892

Commercial Insurance / Payer ID Us Dept Of Labor

350050500

Hospital & Practice Group Affiliations

Scott A Eisman Md Inc

326 Santa Fe Dr, Encinitas, CA 920245131

Phone: 8184620990

Scott A Eisman Md Inc

2067 W Vista Way, Vista, CA 920836032

Phone: 7602308994

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Bonnie Hooper , NP

Nurse Practitioner

NPI 1821062878

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 09, 2007

Registered at 320 SANTA FE DR, SUITE 101, ENCINITAS, CA 920245138 (Tel: 7607533424)

📍

Updated Business Mailing Address October 09, 2007

Registered at 320 SANTA FE DR, SUITE 101, ENCINITAS, CA 920245138 (Tel: 7607533424)

👤

Provider Name / Credentials Updated October 09, 2007

Recorded as WILLIAM HOOPER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2007

Internal Medicine (License #G35446 in CA)

🟢

Initial NPI Registration & Enumeration February 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720052988

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 15, 2006

Last Update: October 09, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

320 Santa Fe Dr, Suite 101

Encinitas, CA 920245138

Phone: 7607533424

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.